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1174715494
KRISTEN ELIZABETH BOUSE
BRIDGETON, MO
NPI
1174715494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 002380)
Enumeration Date
2007-08-10
Last Update Date
2007-08-10
Business Address
Miss KRISTEN ELIZABETH BOUSE LPC
11300 SAINT CHARLES ROCK RD
BRIDGETON, MO 63044-2721
Phone number: 314-739-6811
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Mailing Address
Miss KRISTEN ELIZABETH BOUSE LPC
11300 SAINT CHARLES ROCK RD
BRIDGETON, MO 63044-2721
Phone number: 314-739-6811
Copy
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